Kipley Verne Anderson, CRNA,BSN,MS,CH

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D-078742 Issued in IA

Practice address

2959 Hwy 275
Hamburg, IA 51640

Phone

(712) 382-1515

NPI assigned

Feb 2, 2007

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

67.97 of 100Reported as apm

Quality

34.29

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Medicare reassignment NPD
• Community Hospital Inc

  • Emergency Medicine Physician
  • Hamburg, IA
  • NPI 1124112677

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Community Hospital Inc

  dba George C. Grape Community Hospital

  • Critical Access Hospital
  • Hamburg, IA
  • NPI 1932294071
  Medicare reassignment NPD
• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Mercy Corning

  • Critical Access Hospital
  • Corning, IA
  • NPI 1699856260
  Medicare reassignment
• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Clinic

  • Family Medicine Physician
  • Corning, IA
  • NPI 1821134826
  Medicare reassignment
• Alegent Health - Mercy Hospital, Corning, Iowa

  dba CHI Health Mercy Corning

  • Medicare Defined Swing Bed Hospital Unit
  • Corning, IA
  • NPI 1134204613
  NPD
• Alegent Health Mercy Hospital Corning, Iowa

  dba CHI Health Mercy Corning

  • Emergency Medicine Physician
  • Corning, IA
  • NPI 1649334574
  NPD
• Community Hospital Inc

  dba George C. Grape Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Hamburg, IA
  • NPI 1124114145
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1487792131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 200TH ST",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014501",
            "telephone_number": "712-246-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 HWY 275",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "51640",
            "telephone_number": "712-382-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIPLEY",
        "middle_name": "VERNE",
        "credential": "CRNA,BSN,MS,CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "078742",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-078742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913640942",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487792131",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Bergan Mercy Health System (HME - Hamburg)
• Community Hospital Inc
• Community Hospital Inc (George C. Grape Community Hospital)
• Community Hospital Inc (Southwest Iowa Home Health Services)
• Community Hospital Inc (George C. Grape Community Hospital)
• Megan Elizabeth Gardner, PHARM.D.

• Certified Registered Nurse Anesthetist in Hamburg, IA
• Providers in Hamburg, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.